9 jobs found in Mcallen

Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The RN Field Coder will be responsible for...

RN Field Coder Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience. Job Summary: The RN Field Coder will be responsible for documentation and coding review of medical records where...

DHR Health - US:TX:McAllen - Days Summary: POSITION SUMMARY: The Inpatient coder reviews and analyzes documentation in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes. Coder finalizes the coding and abstracting of the medical record according to ICD-10-CM/PCS, CPT, and HCPCS coding conventions and guidelines supported by the clinical documentation in the medical record. Coder analyzes diagnosis and procedure codes concurrently assigned by Clinical Documentation Specialists. The Inpatient Coder assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Sequence the diagnoses and procedures using official coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Resolve Inpatient billing edits. Abide by the Standards of Ethical Coding as set...

Universal Hospital Services Inc. is seeking an RN Field Coder to focus on documentation and coding review for medical records at partnered practices in McAllen, Texas. This role requires an active RN license in Texas and a coding certification, with responsibilities including coding documentation accurately, provider education, and occasional onsite work. Candidates should have strong analytical skills and clinical knowledge, preferably with experience in HCC coding. Benefits include competitive compensation, loan forgiveness, and outstanding health plans. #J-18808-Ljbffr

Providers is seeking an RN Field Coder in McAllen, Texas. The role involves reviewing and coding medical records, ensuring accurate diagnosis reporting for optimal performance in risk adjustment. Candidates must hold an active RN license in Texas and preferably have coding certification (CPC, CRC). Benefits include competitive compensation, loan forgiveness programs, and career development opportunities. Strong clinical knowledge and proficiency in EMR systems are essential for success in this position. #J-18808-Ljbffr

Prominence Health is seeking an RN Field Coder in McAllen, TX, responsible for documentation and coding review of medical records. The role includes pre-visit reviews, post-visit coding, and provider education. Candidates must have an active RN license in Texas, coding certification, and substantial experience in HCC risk adjustment coding. The position offers a supportive environment with benefits like loan forgiveness and career development opportunities. #J-18808-Ljbffr

Universal Health Services, Inc. is seeking an RN Field Coder in McAllen, Texas. The candidate will document and code medical records, ensuring accuracy and compliance with guidelines. Essential qualifications include an active RN license in Texas, at least two years of experience in CMS HCC coding, and coding certification. The role includes providing education to providers and may require occasional travel for in-person training. Benefits include a loan forgiveness program, competitive compensation, and comprehensive health plans. #J-18808-Ljbffr

Job Summary The RN Field Coder will be responsible for documentation and coding review of medical records where services are rendered at various partnered medical practices. The RN Field Coder will work with assigned provider offices to ensure accurate reporting of diagnoses and service codes to support optimal performance in risk adjustment and quality measurement. The scope of work supported by the RN Field coder will include pre, post and wraparound visit input. Pre-Visit: Reviewing the medical records, outside results and health plan data for upcoming patient appointments and flagging important insights for the provider to review before seeing the patient. Post Visit: reviewing the provider note, populating all supported codes (ICD‑10, CPT, CPT‑II, etc.) and assisting with submission of encounter for claim processing. Wrap Around Education: periodic review of findings, highlighting areas of opportunity in documentation and ongoing education. The Field Coder will be responsible...

Responsibilities The RN Field Coder will be responsible for documentation and coding review of medical records where services are rendered at various partnered medical practices. The RN Field Coder will work with assigned provider offices to ensure accurate reporting of diagnoses and service codes to support optimal performance in risk adjustment and quality measurement. The scope of work supported by the RN Field Coder will include pre, post and wraparound visit input. Pre-Visit: Reviewing the medical records, outside results and health plan data for upcoming patient appointments and flagging important insights for the provider to review before seeing the patient. Post Visit: review the provider note, populate all supported codes (ICD-10, CPT, CPT-II, etc.), and assist submission of encounter for claim processing. Wrap Around Education- periodic review of findings, highlighting areas of opportunity in documentation and ongoing education. The Field Coder will be responsible for...